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I '~ MARION COUNTY HEALTH DEPT.:l~$anitation Specifications <br /> <br /> RECORD OF INDIVIDUAL SEWAGE DISPOSAL SYSTEM <br />TO BE COMPL~ BY I~STAL~ <br />1N~TALLEWS NAME ...................................................... ',..... Address ...................................................................................................... Phone No ............................. <br /> <br />Water suPplT; Public system ~ Ind~h~l well ~ Community ~7stem <br /> <br />CLEAN NO, 2 RO~K; <br />Depth uue. ler tile .................................... inches. <br />De~th over tile inches, <br />Dapth o~ <br /> <br />Well ........................................ it, <br /> <br /> Lot line: ?rout [] $1de [] <br /> <br />Rear [] ............................ It, <br /> <br /> <br />